The irony is that, even in the U.S., healthcare is largely managed and governed by the state. Basically, it's structured in such a way as to gain maximum profit for the healthcare industry (to include Big Pharma), much of which subsidized by taxpayers, while their level of service and quality is no better than in other countries where healthcare costs are considerably lower.
It's price gouging, plain and simple, yet the government enables this practice by putting controls and restrictions which reduce people's options that would normally exist in a truly laissez faire economy. If Americans really want a capitalist healthcare system, then I would just wish the powers that be would make up their minds.